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Thursday, October 31, 2013

Today I got to present to the HIT Standards Clinical Quality Workgroup on principles for standards selection. I had raised the point at our last meeting that it would be good if, before we started selecting standards, we actually understood the principles behind which such a selection was made.

Then I gave an overview of the feedback I had received from many interested parties who responded to this post, or whom I found it interesting to talk to about the issue, including the guy who labels himself as "a dumb family doc" but is now sitting in the National Coordinator's seat (he wasn't at the time I asked). Next time around I get to summarize this into a strawman proposal for the workgroup (the reward for a job well-done is another job).

There was a really great question from the caller from AHRQ, which was related to the point I raised about what is our standards architecture for Meaningful Use. After all, if you don't plan one, it just sort of happens. I'm hoping we can discuss that on a future call. I have some idea about what sort of architecture could be extracted from that program.

The transcript will be posted later, and you can find the materials and a subsequent transcript of what was discussed on the HIT FACA Web Site. Here are my slides:

P.S. If you wondered about what this tweet was about, it was my introducing an ONC FACA Workgroup to some of the prior (and even good) work of ONC. As much as ONC tries to hide the fact that HITSP existed, it keeps coming back to haunt them ;-). How seasonally appropriate.